The Association of Teen Pregnancy and Violence: A Multilevel Study in Colombia
Background: Colombia has a high teen pregnancy (TP) rate. In 2018, one in five pregnancies was from teen mothers between 10 and 19 years of age. While TP rates are declining globally, Colombia's TP rate decline has been particularly low, despite sexual education and contraception campaigns. Oth...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2024-04-01
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| Series: | Women's Health Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/whr.2021.0075 |
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| author | Angela Maria Ruiz-Sternberg Maria Botero-Pinzon María José Niño-Orrego Angela Maria Pinzon-Rondon |
| author_facet | Angela Maria Ruiz-Sternberg Maria Botero-Pinzon María José Niño-Orrego Angela Maria Pinzon-Rondon |
| author_sort | Angela Maria Ruiz-Sternberg |
| collection | DOAJ |
| description | Background: Colombia has a high teen pregnancy (TP) rate. In 2018, one in five pregnancies was from teen mothers between 10 and 19 years of age. While TP rates are declining globally, Colombia's TP rate decline has been particularly low, despite sexual education and contraception campaigns. Other factors must be studied to prevent TP. Colombia has a long history of violence. We aim to assess whether there is a relationship between TP and exposure to violence in Colombia. Methods: Data from the Colombian Demographic and Health Survey 2015 and the Colombian National Department of Statistics were analyzed for association between TP and sexual violence, physical violence, physical punishment as a child, and community violence. Univariate, bivariate, multivariate, and multilevel binary logistic regression models were calculated using SPSS v.25 and HLM v.7. Results: Fifteen percent of teens were pregnant. Emotional violence was reported by 47%, sexual harassment by 27%, physical violence by 17%, physical punishment as a child by 7%, and unwanted sex by 2%. Unwanted sex (odds ratio [OR]: 3.18, 95% confidence interval [95% CI]: 1.96–5.16), sexual harassment (OR: 2.43, 95% CI: 1.89–3.14), and physical punishment (OR: 20.30, 95% CI: 7.96–22.81) were associated with adolescent pregnancy. In unadjusted models, emotional violence was associated (OR: 1.22, 95% CI 1.06–1.40) and community violence showed a tendency (OR: 1.24, 95% CI: 0.99–1.55). Physical violence was not associated. Conclusions: Violence exposure and particularly physical punishment, unwanted sex and sexual harassment were associated with TP incidence and should be considered risk factors for TP. |
| format | Article |
| id | doaj-art-a39af652b04745aea2b0124f705fb692 |
| institution | OA Journals |
| issn | 2688-4844 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj-art-a39af652b04745aea2b0124f705fb6922025-08-20T02:30:49ZengMary Ann LiebertWomen's Health Reports2688-48442024-04-0151465510.1089/whr.2021.0075The Association of Teen Pregnancy and Violence: A Multilevel Study in ColombiaAngela Maria Ruiz-Sternberg0Maria Botero-Pinzon1María José Niño-Orrego2Angela Maria Pinzon-Rondon3Clinical Research Group, Universidad del Rosario, Bogota, Colombia.Department of Biological Sciences, Columbia University College, New York, New York, USA.Clinical Research Group, Universidad del Rosario, Bogota, Colombia.Clinical Research Group, Universidad del Rosario, Bogota, Colombia.Background: Colombia has a high teen pregnancy (TP) rate. In 2018, one in five pregnancies was from teen mothers between 10 and 19 years of age. While TP rates are declining globally, Colombia's TP rate decline has been particularly low, despite sexual education and contraception campaigns. Other factors must be studied to prevent TP. Colombia has a long history of violence. We aim to assess whether there is a relationship between TP and exposure to violence in Colombia. Methods: Data from the Colombian Demographic and Health Survey 2015 and the Colombian National Department of Statistics were analyzed for association between TP and sexual violence, physical violence, physical punishment as a child, and community violence. Univariate, bivariate, multivariate, and multilevel binary logistic regression models were calculated using SPSS v.25 and HLM v.7. Results: Fifteen percent of teens were pregnant. Emotional violence was reported by 47%, sexual harassment by 27%, physical violence by 17%, physical punishment as a child by 7%, and unwanted sex by 2%. Unwanted sex (odds ratio [OR]: 3.18, 95% confidence interval [95% CI]: 1.96–5.16), sexual harassment (OR: 2.43, 95% CI: 1.89–3.14), and physical punishment (OR: 20.30, 95% CI: 7.96–22.81) were associated with adolescent pregnancy. In unadjusted models, emotional violence was associated (OR: 1.22, 95% CI 1.06–1.40) and community violence showed a tendency (OR: 1.24, 95% CI: 0.99–1.55). Physical violence was not associated. Conclusions: Violence exposure and particularly physical punishment, unwanted sex and sexual harassment were associated with TP incidence and should be considered risk factors for TP.https://www.liebertpub.com/doi/10.1089/whr.2021.0075pregnancy in adolescenceexposure to violenceColombia |
| spellingShingle | Angela Maria Ruiz-Sternberg Maria Botero-Pinzon María José Niño-Orrego Angela Maria Pinzon-Rondon The Association of Teen Pregnancy and Violence: A Multilevel Study in Colombia Women's Health Reports pregnancy in adolescence exposure to violence Colombia |
| title | The Association of Teen Pregnancy and Violence: A Multilevel Study in Colombia |
| title_full | The Association of Teen Pregnancy and Violence: A Multilevel Study in Colombia |
| title_fullStr | The Association of Teen Pregnancy and Violence: A Multilevel Study in Colombia |
| title_full_unstemmed | The Association of Teen Pregnancy and Violence: A Multilevel Study in Colombia |
| title_short | The Association of Teen Pregnancy and Violence: A Multilevel Study in Colombia |
| title_sort | association of teen pregnancy and violence a multilevel study in colombia |
| topic | pregnancy in adolescence exposure to violence Colombia |
| url | https://www.liebertpub.com/doi/10.1089/whr.2021.0075 |
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